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Montana rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.39 / $3.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.39 / $3.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.82 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.02 / $3.98